1.A comparative study between laparoscopic versus open choledocholithotomy
Journal of Surgery 2016;19(1):23-28
Introduction: Choledocholithiasis is
present in approximately 15-20% of patients
with gallstone and laparoscopic common
bile duct exploration has been effectively
employed many cases currently. National
Center for Health Development, Mongolian
Ministry of Health, registered 23180 cases of
bile duct diseases which were 3.4% of total
diseases, 2.5% of total surgery, 12.2% of
total gastrointestinal disease, 46.9% of total
liver and biliary tract diseases between 2000
and 2006. Biliary tract diseases increased
2.4 times and bile duct surgery increased
5.2 times than 15 years ago in Mongolia.
To compare open choledocholithotomy
and laparoscopic choledocholithotomy for
common bile duct stones.
Materials and Methods: This study was
carried out in Mongolian national second
central hospital and Inner Mongolian first
medical university hospital. The clinical data
of the106 patients with common bile duct
stones were analyzed between Арril 2015
and Арril 2016. Duration of operation, blood
loss, postoperative complication, period of
hospital stay and expenditure of treatment
were compared in open choledocholithotomy
and laparoscopic choledocholithotomy. All
patients were placed on a “T” tube drainage.
Results: In results of the duration
of operation (p=0.001), blood loss
(p=0.001) and period of hospital (p=0.01)
were significantly lower in laparoscopic
choledocholithotomy group Postoperative
complications and gastrointestinal function
recovery time were lower in laparoscopic
group whereas expenditure of treatment
were lower in open choledocholithotomy.
Conclusion: In conclusion main advantages
of laparoscopic choledocholithotomy were
reduced duration of operation, blood
loss, period of hospital stay and lower
postoperative complications however costly.
2. THE TREATMENT OUTCOME OF HEPATOCELLULAR CANCER
Gan-Erdene B ; Chinburen J ; Narmandakh TS ; Altanchimeg N ; Onon B ; Sanchin U ; Bilguun G ; Ankhbayar E ; Tuvshinbayar M
Journal of Surgery 2016;19(1):37-40
Introduction: Hepatocellular carcinoma(HCC) is the 6th most common cancer inthe world, but the first most commoncause of cancer death in Mongolia. Thereis no universally accepted consensuspractice guidelines for HCC owing to rapiddevelopments in new treatment modalities,the heterogeneous epidemiology and clinicalpresentation of HCC worldwide.Methods and Materials: This study wasconducted in the department of generalsurgery of Second Central Hospital ofMongolia between 2015 and 2016 on a totalof 36 patients with hepatocellular carcinoma.Results: The average of operationtime is a 132.2 min, the hospital stay 18.2days. Postoperative bleeding was 2.7% (1),encephalopathy 5.4% (2), wound infection5.4% (2), and incisional hernia 8.1% (3).There were not bile leak during 30 dayspostoperative day.Conclusion: Postoperative complicationis a comparable to different researcher.There were no death within first month.
3.Fibular fixation in tibiofibular fractureses
Uranbileg B ; Badamgarav G ; Otgonsaikhan N ; Baasansuren Sh ; Erdenebileg A ; Batsukh O ; Naranbat L ; Sanchin U
Innovation 2020;14(2):72-76
Background:
Treatment of adult tibiofibular fractures, especially severely comminuted
fractures, is technically challenging due to the lack of reduction markers and difficulty in restoring
the alignment. Fixation of the fibula can facilitate reduction of the tibia fracture and restoration
of the lower extremity alignment.
Methods:
Between 2018-2019 we have operated on 50 patients who have lie on the same
plane of tibiafibular fractures. Measures of angulation were obtained from radiographs taken
immediately after the surgery, a second time 3 months later, and at 3-month follow-up. The
analysis was performed with STATA.
Results:
Fixating fractures of tibia and fibula at same level were not shown to have complications
on the development of nonunion including fibular shortening, hindfoot alignment, slow process of
nonunion and unstableness.
Conclusions
We recommend fibular fixation in all 50 distal fractures when both fractures lie on
the same plane and the tibial fracture is relatively stabilized.